Jackson Style Agency, Llc

LBN: Jackson Style Agency, Llc
Jackson Style Agency, Llc is an health care organization with primary practice located at 213 Blue Ridge Ext , Grandview MO 64030-1603. The organization recently has 2 registered licenses in different health care specialties including Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities is the primary health care specialty. Jackson Style Agency, Llc can be contacted via phone (816) 765-9990, or through Jackson, Cleotha via phone (816) 765-9990.

Contact Information

Primary practice address
213 Blue Ridge Ext Grandview MO 64030-1603
Phone: (816) 765-9990
Fax: (816) 765-9987
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Cleotha
Phone: (816) 765-9990

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1386701613
LBN Legal business name Jackson Style Agency, Llc
DBA Doing business as
Authorized official Jackson, Cleotha
Entity Organization
Organization subpart 1 No
Enumeration date Jan 3rd, 2007
Last updated Jul 10th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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